Individual provider Active NPI

William Dykes, MD

  • Emergency Medicine Physician
  • Redding, CA
National Provider Identifier
1295760056
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G57768 Issued in CA
Practice address
12450 Maria Drive
Redding, CA 96003
Phone
(510) 436-9000
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G57768 CA Primary

Addresses

Primary practice location

12450 Maria Drive
Redding, CA 96003

Mailing address

12450 Maria Drive
Redding, CA 96003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000511 CA Practitioner - Emergency Medicine 8224120555 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57768CAMDPharmacist
G57768CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayers Memorial Hospital District CurrentSince Dec 1, 2011 Accepting new patients
Butte Inpatient Services Past Accepting new patients

Locations

20647 Commerce Way
Burney, CA 96013
Phone (530) 335-5457

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295760056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 MARIA DRIVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 MARIA DRIVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96003",
            "telephone_number": "510-436-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKES",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G57768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.